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      Potências e limites no cotidiano da formação acadêmica no cuidado à saúde da pessoa surda Translated title: Potencias y límites en el curso diario de la formación académica en la atención médica para personas sordas Translated title: Potentialities and limits in the everyday life of undergraduate training in health care for deaf people

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          Abstract

          Resumo Objetivo compreender as potências e os limites no cotidiano da formação dos estudantes de graduação no cuidado à saúde da pessoa surda. Método trata-se de um estudo qualitativo e interpretativo, fundamentado na Sociologia Compreensiva e do Cotidiano, envolvendo 18 estudantes de uma universidade federal do Sul do Brasil dos cursos de graduação em Enfermagem, Farmácia, Fonoaudiologia, Medicina, Nutrição, Odontologia e Psicologia. As fontes de evidências foram entrevistas individuais desenvolvidas no período de outubro a novembro de 2019. A análise dos dados envolveu a análise preliminar, a ordenação, as ligações-chave, a codificação e a categorização. Resultados as potências no cotidiano da formação dos estudantes no cuidado à saúde da pessoa surda mostram-se na comunicação instituinte, na tecnossocialidade no cuidado e no falar Libras e poder integrar-se à comunidade surda. Os limites mostram-se nos modelos e nas práticas formativas não inclusivas, na impessoalidade da interpretação e na falta de especificidade técnica na disciplina de Libras. Conclusão e implicações para a prática conclui-se que há a necessidade de se refletir sobre os currículos dos cursos da área da saúde, proporcionado a inclusão do cuidado à saúde da pessoa surda, a fim de capacitar os estudantes para a atuação nos diferentes níveis de complexidade.

          Translated abstract

          Resumen Objetivo comprender las potencias y límites en la formación diaria de estudiantes de pregrado en atención a la salud de personas sordas. Método se trata de un estudio cualitativo e interpretativo, basado en Sociología Integral y Cotidiana, que involucró a 18 estudiantes de una universidad federal del Sur de Brasil, de cursos de licenciatura en Enfermería; Farmacia; Terapia del lenguaje; Medicina; Nutrición; Odontología y Psicología. Las fuentes de evidencia fueron entrevistas individuales, desarrolladas de octubre a noviembre de 2019. El análisis de datos ha involucrado el análisis preliminar, el ordenamiento, las llamadas clave, la codificación y la categorización. Resultados las potencias en la formación diaria de los estudiantes en la atención de la salud de los sordos se manifiestan en la instauración de la comunicación, en la tecnosocialidad en la atención y en hablar Libras y la capacidad de integrarse con la comunidad sorda. Los límites se muestran en los modelos y en las prácticas de entrenamiento no inclusivo, en la impersonalidad de la interpretación y en la falta de especificidad técnica en la asignatura de Libra. Conclusión e implicaciones para la práctica se concluye que existe la necesidad de reflexionar sobre los planes de estudio de los cursos de salud, proporcionando la inclusión de la atención de la salud a las personas sordas, con el fin de capacitar a los estudiantes para trabajar en los diferentes niveles de complejidad.

          Translated abstract

          Abstract Objective to understand the potencialities and the limits in the daily training of undergraduate students in the health care of the deaf person. Method it is a qualitative and interpretative study, based on Comprehensive and Daily Sociology, involving 18 students from a federal university in the South of Brazil of the undergraduate courses in Nursing, Pharmacy, Speech Therapy, Medicine, Nutrition, Dentistry and Psychology. The sources of evidence were individual interviews developed from October to November 2019. The data analysis involved preliminary analysis, ordering, key links, coding and categorization. Results the potencialities in the daily training of students in health care of the deaf person are shown in the communication institute, the techno-sociality in care and the communicating in Libras and being able to integrate with the deaf community. The limits are shown in the models and training practices not inclusive, the impersonality of interpretation and lack of technical specificity in the Libras (Brazilian sign language) discipline. Conclusion and implications for practice it is concluded that there is a need to reflect on the curricula of health courses, providing the inclusion of health care for deaf people in order to enable students to act at different levels of complexity.

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          Health Care Access Among Deaf People.

          Access to health care without barriers is a clearly defined right of people with disabilities as stated by the UN Convention on the Rights of People with Disabilities. The present study reviews literature from 2000 to 2015 on access to health care for deaf people and reveals significant challenges in communication with health providers and gaps in global health knowledge for deaf people including those with even higher risk of marginalization. Examples of approaches to improve access to health care, such as providing powerful and visually accessible communication through the use of sign language, the implementation of important communication technologies, and cultural awareness trainings for health professionals are discussed. Programs that raise health knowledge in Deaf communities and models of primary health care centers for deaf people are also presented. Published documents can empower deaf people to realize their right to enjoy the highest attainable standard of health.
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            Healthcare provider’s attitude towards disability and experience of women with disabilities in the use of maternal healthcare service in rural Nepal

            Background Women with disabilities are less likely to receive maternal healthcare services compared to women without disabilities. While few studies have reviewed healthcare experience of women with disabilities, no studies have been conducted to understand provider’s attitude towards disability in Nepal, yet the attitude and behaviour of healthcare providers may have a significant influence on aspects of care and the use of service by women with disabilities. This study examines healthcare provider’s attitudes towards disability and explores the experience of women with disabilities in maternal healthcare service utilization during pregnancy and childbirth. Method The study used mixed method approach. An attitude survey was conducted among 396 healthcare providers currently working in public health facilities in Rupandehi district of Nepal. For additional insight, eighteen in-depth interviews with women with disabilities who used maternal healthcare services in a healthcare facility within the study district in their last pregnancy were undertaken. The Attitude Towards Disabled Persons (ATDP) scale score was used to measure the attitudes of healthcare providers. For quantitative data, univariate and multivariate analysis using ANOVA was used to understand the association between outcome and independent variables and qualitative analysis generated and described themes. Results Mean ATDP score among healthcare providers (78.52; SD = 14.75), was low compared to the normative score of 100 or higher. Nurses/auxiliary nurse midwives obtained the highest mean score (85.59, SD = 13.45), followed by general clinical health workers (Mean score = 82.64, SD 15.10). The lowest score was obtained by Female Community Health Volunteers (FCHV) (Score = 73.75, SD = 13.40) (P   0.05). This may reflect the small number of individuals, who have had training on disability thus far, or the nature or quality of the training currently available. The majority of qualitative interview participants perceived providers to have the negative attitude with poor knowledge, skills and preparation for providing care to persons with disabilities. Few participants perceived the providers as kind, respectful, caring or helpful. Conclusion Overall, provider’s attitude towards disability was found to be negative with poor knowledge and skills about providing services. This may have adversely impact maternal healthcare service utilization by women with disabilities. More organized, effective training for healthcare providers is required through on-going mainstream efforts to develop favorable attitudes towards disability. Further research on this subject is also needed. Electronic supplementary material The online version of this article (doi:10.1186/s12978-017-0330-5) contains supplementary material, which is available to authorized users.
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              Censo Demográfico 2010

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                Author and article information

                Journal
                ean
                Escola Anna Nery
                Esc. Anna Nery
                Universidade Federal do Rio de Janeiro (, RJ, Brazil )
                1414-8145
                2177-9465
                2021
                : 25
                : 3
                : e20200341
                Affiliations
                [02] Florianópolis Santa Catarina orgnameUniversidade Federal de Santa Catarina Brazil
                [03] São João del-Rei Minas Gerais orgnameUniversidade Federal de São João del-Rei orgdiv1Campus Centro-Oeste Brazil
                [01] Bombinhas Santa Catarina orgnamePrefeitura Municipal de Bombinhas Brazil
                [04] Florianópolis Santa Catarina orgnameUniversidade Federal de Santa Catarina orgdiv1Programa de Pós-Graduação de Enfermagem Brazil
                Article
                S1414-81452021000300205 S1414-8145(21)02500300205
                10.1590/2177-9465-ean-2020-0341
                0a6146f5-a880-468a-a3c8-1ef5b5088c73

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 19 November 2020
                : 25 August 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 36, Pages: 0
                Product

                SciELO Brazil


                Health Care,Atividades Cotidianas,Pessoas com Deficiência Auditiva,Surdez,Assistência à Saúde,Prestación de Atención de Salud,Everyday Life Activities,Students,Sordera,Estudantes,Educación de Personas con Discapacidad Auditiva,Estudiantes,Actividades Cotidianas,Hearing-Impaired people,Deafness

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